Faculty of Agriculture, University of Peradeniya



Application No: ………………………….(For official use)APPLICATION FOR SCHOLARSHIP/ ASSISTANTSHIP/ AWARD, 2018/2019FACULTY OF AGRCULTURE, UNIVERSITY OF PERADENIYAName of the applicant: Mr./ Mrs.…………………………………………………………………………………………………………………Date of Birth: ………………………………………………………….Postal Address: …………….…………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………………..Contact No.: ………………………………………………………….Grama Niladhari Division: …………………………………………………………..District: ……………………………………….…Year of admission to the Faculty: …………Reg. No.: …………………………….Academic Series: ……………...(7)Scholarship/s, Studentship/s or Award/s to which the application is submitted:Indicate all Scholarship/s, Studentship/s and Award/s you intent to apply, by marking “X” in the relevant box/s in the following table after carefully understanding the eligibility for each of them.Name of the scholarshipApplyNeedy students Scholarship Award, Faculty of Agriculture.(Eligibility: The scholarship may be awarded for students in acute financial difficulty, based on the Academic & Extracurricular achievements of the applicant. The award is for a period of only one year.)Scholarship of the ALUMNI Association of the University of Ceylon 1960/69 group.(Eligibility: The scholarship may be awarded to a student who has entered the University from a difficult area*, obtained very good pass in the First Examination and based on the financial difficulties of the family of the applicant.)Mr. C.B. Aluwihare Memorial Studentship in Agriculture.(Eligibility: The studentship shall be awarded to a 2nd year needy student who has entered the University through Sinhala medium and obtained a minimum of 3.0 GPA in the 1st year examination. Preference shall be given to a needy student who does not have any other financial support.)Maharaja Organization Ltd. Studentship for Agriculture: Sabaragamuwa & Western Provinces.(Eligibility: One studentship shall be awarded to a student who has entered the University from each provinces annually, tenable for one year, based on the financial need of the applicant and normally be restricted to students where parents have an annual income not exceeding Rs. 60,000/=.) Maharaja Organization Ltd. Studentship for Agriculture: Southern & Central Provinces.(Eligibility: One studentship shall be awarded to a student who has entered the University from each provinces annually, tenable for one year, based on the financial need of the applicant and normally be restricted to students where parents have an annual income not exceeding Rs. 60,000/=.)Maharaja Organization Ltd. Studentship for Agriculture: Polonnaruwa District.(Eligibility: One studentship shall be awarded to a student who has entered the University from the district annually, tenable for one year, based on the financial need of the applicant and normally be restricted to students where parents have an annual income not exceeding Rs. 60,000/=.)C & I Kuhn Studentship in Agriculture.(Eligibility: Three studentships shall be awarded to 3rd year undergraduates who have CGPA not less than 2.5 after completing the 2200 series examination, tenable for one year. Preference will be given to applicants who do not have any other financial support for studies.)Agriculture Graduates’ Association of Peradeniya 1982 (AGAP 82) Scholarship.(Eligibility: Two scholarships will be offered to neediest students depending on the merit, tenable for one year.)R.M. Abesekara Studentship.(Eligibility: One studentship will be awarded to a 1st year student who has entered the University from Nuwaraeliya District, tenable for 4 years.) *: Underprivileged area defined by the UGCResults of Examinations:(Note: Please complete the relevant cells of the table.)ExaminationGPACGPAExaminationGPACGPAExaminationGPACGPA(9)Academic merits secured (i.e. Scholarships, Medals, Awards, etc.) at the University:Name of the Scholarship, Medal, Award, anizationYear(10)Extra Curricular Activities at the University:Activity (i.e. Sports, Membership of Societies, Organizing events, etc.)Year(11)Information of the parents/ guardian:(Note: Please complete the relevant cells of the table.)Living/ DeceasedOccupationAverage income (Rs/Month)FatherMotherGuardianNote: Please provide death certificate if father, mother or guardian is deceased.(12)Information of brother/s and sister/s:(Note: Please complete the relevant cells of the table.)Living/ DeceasedGrade if schoolingYear if undergraduateOccupation if employedAverage income (Rs/Month)Brother/ Sister - 1Brother/ Sister - 2Brother/ Sister - 3Brother/ Sister - 4Brother/ Sister - 5(13)Details of financial assistance (i.e.Scholarships, Assistantships, Awards, etc.) received from the Faculty/ University/ Mahapola Trust Fund/ Ministry of Higher Education:Name of the Scholarship/ Assistantship/ AwardAmount (Rs./Month)(14)Whether your family receives Samurdhi Benefits:Yes/ No (15)Any other information to justify your application:…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Date:……………………………………………………………..……………………………………………………………………Signature of the Applicant(15)Certification by Grama Niladhari:(Note: This section is to be completed by the Grama Niladhari)I certify that Mr./ Ms. …………………………………………………………………………………………………………….. has been a permant resident in my Grama Niladhari Division from ………../ ………../ ……….. to ………../ ………../ ……….. and thatHis/ Her character is ………………………………………………………………He/ She has …………………………… brother/s and sister/sHis/ Her parents income from employment and all other sources is Rs. ………..………………… per month.Date:……………………………………………………………..……………………………………………………………………Signature and official seal(16)Certification by the Divisional Secretary:(Note: This section is to be completed by the Divisional SecretaryCertified/ Not certifiedDate:……………………………………………………………..……………………………………………………………………Signature and official seal ................
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